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1265565337
TIFFANY ALICE PIQUILLOUD
LA MESA, CA
NPI
1265565337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT-19378)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mrs. TIFFANY ALICE PIQUILLOUD PT
5540 LAKE PARK WAY
LA MESA, CA 91942-1607
Phone number: 619-667-8644
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Mailing Address
Mrs. TIFFANY ALICE PIQUILLOUD PT
1162 SAPPHIRE ST
SAN DIEGO, CA 92109-1854
Phone number: 619-838-8433
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